Randomized trial on routine vs. provisional T-stenting in the treatment of de novo coronary bifurcation lesions.

ABSTRACT:

Aims

We investigated whether routine T-stenting reduces restenosis of the side branch as compared with provisional T-stenting in patients with de novo coronary bifurcation lesions.

Methods and results

Our randomized study assigned 101 patients with a coronary bifurcation lesion to routine T-stenting with sirolimus-eluting stents (SES) in both branches and 101 patients to provisional T-stenting with SES placement in the main branch followed by kissing-balloon angioplasty and provisional SES placement in the side branch only for inadequate results. Primary endpoint was per cent diameter stenosis of the side branch at 9 month angiographic follow-up. Angiographic follow-up in 192 (95%) patients revealed a per cent stenosis of the side branch of 23.0 +/- 20.2% after provisional T

SUBMITTER: Ferenc M 

PROVIDER: S-EPMC2638653 | biostudies-literature | 2008 Dec

REPOSITORIES: biostudies-literature